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Restoration of energy homeostasis by SIRT6 extends healthy lifespan
Abstract
Aging leads to a gradual decline in physical activity and disrupted energy homeostasis. The NAD + -dependent SIRT6 deacylase regulates aging and metabolism through mechanisms that largely remain unknown. Here, we show that SIRT6 overexpression leads to a reduction in frailty and lifespan extension in both male and female B6 mice. A combination of physiological assays, in vivo multi-omics analyses and 13 C lactate tracing identified an age-dependent decline in glucose homeostasis and hepatic glucose output in wild type mice. In contrast, aged SIRT6-transgenic mice preserve hepatic glucose output and glucose homeostasis through an improvement in the utilization of two major gluconeogenic precursors, lactate and glycerol. To mediate these changes, mechanistically, SIRT6 increases hepatic gluconeogenic gene expression, de novo NAD + synthesis, and systemically enhances glycerol release from adipose tissue. These findings show that SIRT6 optimizes energy homeostasis in old age to delay frailty and preserve healthy aging.
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![Fig. 6 SIRT6 restores the significant reduction in hepatic lactate oxidation and contribution to GNG at old age. a Schematic showing fates of lactate carbons following injection of [U-13C]-lactate, after one round of the TCA cycle or flux through pyruvate carboxylase (PC, Pyr→OAA). White balls, 12C carbons. Colored balls, 13C carbons. Red, carbon flux from lactate to glucose via the TCA cycle. Yellow, carbon flux from lactate to glucose via PC. b Hepatic glucose isotopologues, 15 min after [U-13C]-lactate injection. c–e, Relative abundance of hepatic glucose [M + 2] and glucose [M + 3] (c), the TCA cycle metabolites αKG [M + 2], succinate [M + 2] and malate [M + 2] (d), and total pyruvate and pyruvate [M + 3] (e) 15 min after [U-13C]-lactate injection. Metabolite peak area values were normalized to total ion count. f, g Hepatic lactate [M + 3] / pyruvate [M + 3] peak area ratio (f), and ratio of total liver metabolite levels of lactate/pyruvate (g) 15 min after [U-13C]-lactate injection. For (b–g), mice were at the ages of 5–7 months (young) and 20–24 months (old). n = 5 mice; bars represent mean ± SEM. One-way ANOVA with Fisher’s LSD method. Exact p-values are reported in the Source Data file. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001. h Pyruvate tolerance test in 20 months old 6 h-fasted WT (n = 7 mice) and SIRT6-tg (n = 6 mice) male mice.](/paper-figures/bf23242a69cb49e7ab357c2681522636/restoration-of-energy-homeostasis-by-sirt6-extends-healthy-lifespan-figure-6.jpg)

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Metadata
- Authors
- Roichman, A., Elhanati, S., Aon, M. A., Abramovich, I., Di Francesco, A., Shahar, Y., Avivi, M. Y., Shurgi, M., Rubinstein, A., Wiesner, Y., Shuchami, A., Petrover, Z., Lebenthal-Loinger, I., Yaron, O., Lyashkov, A., Ubaida-Mohien, C., Kanfi, Y., Lerrer, B., Fernández-Marcos, P. J., Serrano, M., Gottlieb, E., de Cabo, R., & Cohen, H. Y.
- Venue
- Nature Communications
- Published
- 2021-05-28
- Volume
- 12
- Issue
- 1
- ISSN
- 2041-1723
- PMC
- PMC8163764
- Cited by
- 214
- References
- 20
- Language
- en
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